Active NPI
H-E-B, LP
Doing business as HEB Pharmacy #333
- Community/Retail Pharmacy
- Aransas Pass, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 21491
- Legal business name
- H-E-B, LP
- Doing business as
- HEB Pharmacy #333
- Practice address
- 101 E Goodnight Ave
Aransas Pass, TX 78336 - Phone
- (361) 758-9565
- Fax
- (361) 758-8017
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Liendo
- Title
- Government Programs Manager
- Phone
- (210) 938-3182
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 21491 | TX | Primary |
Addresses
Primary practice location
101 E Goodnight Ave
Aransas Pass, TX 78336
Mailing address
646 South Flores
San Antonio, TX 78204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469131 | Medicaid | TX | |
| 4521464 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- HEB Pharmacy #333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081216000621 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224190871 | This NPI is an additional NPI on the enrollment |
| O20100930073077 | TX | DME Supplier - Pharmacy | 8224190871 | Practice locations: Aransas Pass, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1072737 | Heb Pharmacy #333 | Certificate of waiver | Aug 22, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Heb Pharmacy #333 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
101 E Goodnight Ave
Aransas Pass, TX 78336
Phone (361) 758-9565
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacy Technician
- San Antonio, TX
- NPI 1376857813
-
- Pharmacy Technician
- Aransas Pass, TX
- NPI 1134709314
-
- Pharmacist
- Aransas Pass, TX
- NPI 1982922787
-
- Pharmacist
- Aransas Pass, TX
- NPI 1346684198
-
- Pharmacy Technician
- Aransas Pass, TX
- NPI 1174103311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1457460875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 SOUTH FLORES",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E GOODNIGHT AVE",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "78336",
"telephone_number": "361-758-9565",
"fax_number": "361-758-8017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H-E-B, LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A",
"authorized_official_last_name": "LIENDO",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "GOVERNMENT PROGRAMS MANAGER",
"authorized_official_telephone_number": "210-938-3182"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "21491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "469131",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4521464",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEB Pharmacy #333",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aransas Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.